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Energy expenditure in the critically ill performing early physical therapy

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Hickmann, Cheryl [UCL] Roeseler, Jean [UCL] Castanares Zapatero, Diego [UCL] Herrera, Eduardo I. [UCL] Mongodin, Arthur [UCL] Laterre, Pierre-François [UCL]

Purpose: Resting energy expenditure (REE) determination is of high relevance to avoid both overfeeding and underfeeding. We conducted an observational study to determine the impact of early exercise on energy requirements to adjust caloric intake accordingly in critically ill patients. Methods: This was a prospective observational study conducted in an intensive care unit in 49 hemodynamically stable critically ill patients and 15 healthy volunteers. Indirect calorimetry (IC) was performed for 15 min at baseline during resting conditions, and then continuously recorded during 30 min of cycling at 0, 3, or 6 watts (W), followed by a 15-min resting period. REE determined by IC was compared with predictive formulas and correlated with several biomarkers. The energy cost of early exercise was compared between critically ill patients and healthy volunteers. Results: In patients, REE determined by IC was higher than predicted by Harris-Benedict (29 ± 31 %, p < 0.001) and Fleisch equations (23 ± 31 %, p < 0.001) but lower than predicted by the Faisy-Fagon equation for ventilated patients (16 ± 19 %, p < 0.05). Differences between Harris-Benedict predictions and IC determination were positively correlated with C-reactive protein (CRP) in patients with sepsis (r = 0.51, p = 0.003). During a similar exercise, VO 2 increase in patients was higher when compared with healthy volunteers at 3 W, close to significant at 6 W, and not present in the passive group. Conclusions: The critically ill have increased REE according to inflammation defined by CRP. Increased energy requirement for physical activity was only present for active exercise and seems to differ from that in the healthy population. For the exercise duration and intensity tested, nutritional adjustment is not indicated. © 2014 Springer-Verlag Berlin Heidelberg and ESICM.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Intensive Care Medicine" - Vol. 40, no. 4, p. 548-555 (2014)
Peer reviewed yes
Publisher Springer ((United States) New York, NY)
issn 0342-4642
e-issn 1432-1238
Publication status Publié
Affiliations UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire
UCL - SSS/IREC/MEDA - Pôle de médecine aiguë
UCL - (SLuc) Service de soins intensifs
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  1. Casaer Michael P., Mesotten Dieter, Hermans Greet, Wouters Pieter J., Schetz Miet, Meyfroidt Geert, Van Cromphaut Sophie, Ingels Catherine, Meersseman Philippe, Muller Jan, Vlasselaers Dirk, Debaveye Yves, Desmet Lars, Dubois Jasperina, Van Assche Aime, Vanderheyden Simon, Wilmer Alexander, Van den Berghe Greet, Early versus Late Parenteral Nutrition in Critically Ill Adults, 10.1056/nejmoa1102662
  2. KLEIN CATHERINE J, STANEK GENA S, WILES CHARLES E, Overfeeding Macronutrients to Critically Ill Adults, 10.1016/s0002-8223(98)00179-5
  3. Villet Stéphane, Chiolero René L., Bollmann Marc D., Revelly Jean-Pierre, Cayeux RN Marie-Christine, Delarue Jacques, Berger Mette M., Negative impact of hypocaloric feeding and energy balance on clinical outcome in ICU patients, 10.1016/j.clnu.2005.03.006
  4. Rubinson Lewis, Diette Gregory B., Song Xiaoyan, Brower Roy G., Krishnan Jerry A., Low caloric intake is associated with nosocomial bloodstream infections in patients in the medical intensive care unit* : , 10.1097/01.ccm.0000089641.06306.68
  5. Singer Pierre, Anbar Ronit, Cohen Jonathan, Shapiro Haim, Shalita-Chesner Michal, Lev Shaul, Grozovski Elad, Theilla Miryam, Frishman Sigal, Madar Zecharia, The tight calorie control study (TICACOS): a prospective, randomized, controlled pilot study of nutritional support in critically ill patients, 10.1007/s00134-011-2146-z
  6. Alberda Cathy, Gramlich Leah, Jones Naomi, Jeejeebhoy Khursheed, Day Andrew G., Dhaliwal Rupinder, Heyland Daren K., The relationship between nutritional intake and clinical outcomes in critically ill patients: results of an international multicenter observational study, 10.1007/s00134-009-1567-4
  7. Biolo Gianni, Protein Metabolism and Requirements, World Review of Nutrition and Dietetics (2012) ISBN:9783318022278 p.12-20, 10.1159/000341545
  8. Fletcher Simon N., Kennedy Daniel D., Ghosh Indrajit R., Misra Vijay P., Kiff Kevin, Coakley John H., Hinds Charles J., Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness* : , 10.1097/01.ccm.0000053651.38421.d9
  9. Burtin Chris, Clerckx Beatrix, Robbeets Christophe, Ferdinande Patrick, Langer Daniel, Troosters Thierry, Hermans Greet, Decramer Marc, Gosselink Rik, Early exercise in critically ill patients enhances short-term functional recovery* : , 10.1097/ccm.0b013e3181a38937
  10. Schweickert William D, Pohlman Mark C, Pohlman Anne S, Nigos Celerina, Pawlik Amy J, Esbrook Cheryl L, Spears Linda, Miller Megan, Franczyk Mietka, Deprizio Deanna, Schmidt Gregory A, Bowman Amy, Barr Rhonda, McCallister Kathryn E, Hall Jesse B, Kress John P, Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial, 10.1016/s0140-6736(09)60658-9
  11. Morris Peter E., Goad Amanda, Thompson Clifton, Taylor Karen, Harry Bethany, Passmore Leah, Ross Amelia, Anderson Laura, Baker Shirley, Sanchez Mary, Penley Lauretta, Howard April, Dixon Luz, Leach Susan, Small Ronald, Hite R Duncan, Haponik Edward, Early intensive care unit mobility therapy in the treatment of acute respiratory failure* : , 10.1097/ccm.0b013e318180b90e
  12. Scott Christopher B., Fountaine Charles, Estimating the Energy Costs of Intermittent Exercise, 10.2478/hukin-2013-0050
  13. Reis VM, Junior RS, Zajac A, Oliveira DR (2011) Energy cost of resistance exercises: an update. J Human Kinet 29A:33–39
  14. McArdles WD (2007) Exercise physiology: energy, nutrition, and human performance. Lippincott Williams & Wilkins, London
  15. Gosselink R., Bott J., Johnson M., Dean E., Nava S., Norrenberg M., Schönhofer B., Stiller K., van de Leur H., Vincent J. L., Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients, 10.1007/s00134-008-1026-7
  16. Hickmann C, Roeseler J, Castanares-Zapatero D, Wittebole X, Mongodin A, Bialais E, Laterre PF (2011) Energy cost of early physical therapy in critically ill patients: a pilot study. Réanimation 21:86–89 (abstract)
  17. Vohra S.B., Keegan M.A., Campbell I.T., McGuinness K., Practical limitations of the Deltatrac indirectcalorimeter, 10.1016/s0261-5614(95)80013-1
  18. Bittner Edward A., Martyn Jeevendra A., George Edward, Frontera Walter R., Eikermann Matthias, Measurement of muscle strength in the intensive care unit : , 10.1097/ccm.0b013e3181b6f727
  19. Haugen Heather A., Chan Lingtak-Neander, Li Fanny, Indirect Calorimetry: A Practical Guide for Clinicians, 10.1177/0115426507022004377
  20. Compher Charlene, Frankenfield David, Keim Nancy, Roth-Yousey Lori, Best Practice Methods to Apply to Measurement of Resting Metabolic Rate in Adults: A Systematic Review, 10.1016/j.jada.2006.02.009
  21. McClave SA, Lowen CC, Kleber MJ, McConnell JW, Jung LY, Goldsmith LJ, Clinical use of the respiratory quotient obtained from indirect calorimetry, 10.1177/014860710302700121
  22. Tissot S., Delafosse B., Bertrand O., Bouffard Y., Viale J. P., Annat G., Clinical validation of the Deltatrac monitoring system in mechanically ventilated patients, 10.1007/bf01726538
  23. Bourdin G, Barbier J, Burle JF, Durante G, Passant S, Vincent B, Badet M, Bayle F, Richard JC, Guérin C (2010) The feasibility of early physical activity in intensive care unit patients: a prospective observational one-center study. Respir Care 55:400–407
  24. Berger MM, Pichard C (2012) Best timing for energy provision during critical illness. Crit Care 16:215
  25. Faisy C, Guerot E, Diehl JL, Labrousse J, Fagon JY (2003) Assessment of resting energy expenditure in mechanically ventilated patients. Am J Clin Nutr 78:241–249
  26. Gobel F. L., Norstrom L. A., Nelson R. R., Jorgensen C. R., Wang Y., The rate-pressure product as an index of myocardial oxygen consumption during exercise in patients with angina pectoris, 10.1161/01.cir.57.3.549
  27. Weissman Charles, Kemper Marcia, Askanazi Jeffrey, Hyman Allen I., Kinney John M., Resting Metabolic Rate of the Critically Ill Patient: Measured versus Predicted : , 10.1097/00000542-198606000-00001
  28. Barak N, Wall-Alonso E, Sitrin MD, Evaluation of stress factors and body weight adjustments currently used to estimate energy expenditure in hospitalized patients, 10.1177/0148607102026004231
  29. SWINAMER DEANNA L., GRACE MICHAEL G., HAMILTON STEWART M., JONES RICHARD L., ROBERTS PAUL, KING E. GARNER, Predictive equation for assessing energy expenditure in mechanically ventilated critically ill patients : , 10.1097/00003246-199006000-00017
  30. Japur Camila C., Penaforte Fernanda R.O., Chiarello Paula G., Monteiro Jacqueline P., Vieira Marta N.C.M., Basile-Filho Anibal, Harris-Benedict equation for critically ill patients: Are there differences with indirect calorimetry?, 10.1016/j.jcrc.2008.12.007
  31. Chioléro René, Revelly Jean-Pierre, Tappy Luc, Energy metabolism in sepsis and injury, 10.1016/s0899-9007(97)83043-2
  32. KREYMANN GEORG, GROSSER SEBASTIAN, BUGGISCH PETER, GOTTSCHALL CLAUS, MATTHAEI STEPHAN, GRETEN HEINER, Oxygen consumption and resting metabolic rate in sepsis, sepsis syndrome, and septic shock : , 10.1097/00003246-199307000-00015
  33. Johnson Gyasi, Sallé Agnès, Lorimier Gérard, Laccourreye Laurent, Enon Bernard, Blin Vincent, Jousset Yann, Arnaud Jean-Pierre, Malthièry Yves, Simard Gilles, Ritz Patrick, Cancer cachexia: Measured and predicted resting energy expenditures for nutritional needs evaluation, 10.1016/j.nut.2008.01.013
  34. Falconer J. Stuart, Fearon Kenneth C. H., Plester Claire E., Ross James A, Carter David C., Cytokines, the Acute-Phase Response, and Resting Energy Expenditure in Cachectic Patients with Pancreatic Cancer : , 10.1097/00000658-199404000-00001
  35. Camargo Pires-Neto Ruy, Fogaça Kawaguchi Yurika Maria, Sayuri Hirota Adriana, Fu Carolina, Tanaka Clarice, Caruso Pedro, Park Marcelo, Ribeiro Carvalho Carlos Roberto, Very Early Passive Cycling Exercise in Mechanically Ventilated Critically Ill Patients: Physiological and Safety Aspects - A Case Series, 10.1371/journal.pone.0074182
  36. Gamrin Lena, Andersson Kerstin, Hultman Eric, Nilsson Eva, Essén Pia, Wernerman Jan, Longitudinal changes of biochemical parameters in muscle during critical illness, 10.1016/s0026-0495(97)90119-0
  37. Poulsen Jesper B., Møller Kirsten, Jensen Claus V., Weisdorf Sigge, Kehlet Henrik, Perner Anders, Effect of transcutaneous electrical muscle stimulation on muscle volume in patients with septic shock* : , 10.1097/ccm.0b013e318205c7bc
  38. Fletcher G. F., Balady G. J., Amsterdam E. A., Chaitman B., Eckel R., Fleg J., Froelicher V. F., Leon A. S., Pina I. L., Rodney R., Simons-Morton D. A., Williams M. A., Bazzarre T., Exercise Standards for Testing and Training: A Statement for Healthcare Professionals From the American Heart Association, 10.1161/hc3901.095960
  39. Weissman C., Kemper M., Damask M.C., Askanazi J., Hyman A.I., Kinney J.M., Effect of Routine Intensive Care Interactions on Metabolic Rate, 10.1378/chest.86.6.815
Bibliographic reference Hickmann, Cheryl ; Roeseler, Jean ; Castanares Zapatero, Diego ; Herrera, Eduardo I. ; Mongodin, Arthur ; et. al. Energy expenditure in the critically ill performing early physical therapy. In: Intensive Care Medicine, Vol. 40, no. 4, p. 548-555 (2014)
Permanent URL http://hdl.handle.net/2078.1/164138